Organization
LOGAN FAMILY HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
WENDY WHITE (CREDENTIALING SPECIALIST)
(304) 688-7027
Entity
Organization
Contact information
Practice address
148 ENTERPRISE DR, LOGAN, WV 25601-3753
(304) 752-9450
(304) 752-9452
Mailing address
148 ENTERPRISE DR, LOGAN, WV 25601-3753
(304) 752-9450
(304) 752-9452
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
08/15/2023
Last updated
09/16/2025
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